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All Journal Jurnal Berkala Epidemiologi Damianus Journal of Medicine The Indonesian Journal of Public Health Universa Medicina JPKMI (Jurnal Publikasi Kesehatan Masyarakat Indonesia) Berkala Ilmiah Kedokteran Duta Wacana Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Majalah Kedokteran Neurosains Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Indonesian Journal of Global Health research Cermin Dunia Kedokteran Berita Kedokteran Masyarakat Neurona Jurnal Kedokteran Meditek Jurnal Ilmu Kesehatan Masyarakat (The Public Health Science Journal) Cermin Dunia Kedokteran
Yvonne Suzy Handajani
Departemen Ilmu Kesehatan Masyarakat Dan Gizi, Fakultas Kedokteran Universitas Katolik Indonesia Atma Jaya, Jakarta, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

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Lingkar Pinggang Sebagai Faktor Risiko Utama Osteoartritis Lutut dan Peran Penting Depresi Felicia, Tesya; Kristian, Kevin; Handajani, Yvonne Suzy; Barus, Jimmy Fransisco Abadinta
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3496

Abstract

Background: As the elderly population increases, the incidence of osteoarthritis (OA) also rises. In Indonesia, the prevalence of OA is 15.5% in men and 12.7% in women. Research on OA in Indonesia remains limited, particularly regarding population-based studies. Purpose: This study aimed to provide an overview of knee OA and its risk factors among older adults living in Pusaka Kebon Jeruk, West Jakarta. Methods: This cross-sectional study involved 100 respondents. Data were collected through interviews using questionnaires. Bivariate analysis was conducted using chi-square tests, and multivariate analysis was performed using multiple logistic regression (p<0.05). Results: The study found that 28% of the elderly had knee OA, with the majority aged 60-74 years (75%), female (71%), unemployed (82%), educated for 12 years or more (90%), and married (55%). Bivariate analysis identified waist circumference (p<0.001) and depression (p=0.032) as variables significantly associated with knee OA. Multivariate analysis indicated that waist circumference was the most significant factor affecting knee OA, with an odds ratio (OR) of 24.239. The prevalence of knee OA requires serious attention from the government and healthcare providers. Conclusion: Knee OA is significantly related to waist circumference and depression, with waist circumference being the most critical factor. Central obesity is associated with a higher risk of knee OA. Therefore, it is essential to prevent central obesity through a balanced diet and regular exercise.
THE ROLE OF OLFACTORY FUNCTION AND MULTIMORBIDITY IN COGNITIVE IMPAIRMENT: Peranan Fungsi Penghidu dan Multimorbiditas Terhadap Fungsi Kognitif Kristian, Kevin; Vebriana, Gennesia; Hardi, Nicholas; Turana, Yuda; Handajani, Yvonne Suzy
Jurnal Berkala Epidemiologi Vol. 13 No. 2 (2025): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V13I22025.193-200

Abstract

Background: As the population ages, the issue of cognitive impairment is becoming increasingly worrisome, especially with the rise in conditions like multiple chronic diseases and loss of smell among the elderly. Purpose: The goal of this research is to explore how multiple chronic diseases, sense of smell, and cognitive impairment are linked among the senior population. Methods: This study involved 128 individuals at a senior community in Jakarta with an average age of 68.34 years. The presence of multiple chronic diseases was determined by looking for highest prevalence of disease pairs, and the sense of smell was tested with an 8-smell test. Cognitive function was measured with the CERAD questionnaire, with a score below 52 indicating cognitive impairment. The analysis included Chi-square tests at a 95% confidence level. Results: The findings suggest a clear link between lower levels of education and cognitive impairment (p=0.018; OR=3.214), as well as between loss of smell and cognitive deterioration (p=0.049; OR=2.565). However, having more than three chronic diseases was found to significantly increase the risk of cognitive impairment (p=0.018; OR=2.678), but there was no significance to support that certain disease pairs were more likely to lead to cognitive impairment. Conclusion: This research underscores the significance of sense of smell and the presence of multiple chronic diseases, especially in greater numbers, as major risk factors for cognitive impairment in the elderly.
Hubungan Gangguan Penglihatan dan Faktor Lain Dengan Fungsi Kognitif Pada Lansia di Indonesia Thiantoro, Benedicta Ann Clarabelle; Turana, Yuda; Handajani, Yvonne Suzy
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 39 No 4 (2023): Vol 39 No 4 (2023)
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v39i4.370

Abstract

Introduction: Vision impairment is one of the most common problems experienced by the elderly.Vision impairment may disturb an elderly’s well-being. Various studies have found significant correlationbetween hearing loss and cognitive function. Data is now available from the Indonesian Family Life Survey(IFLS). However, there is limited research in the association between vision impairment and cognitive functionand no studies have used IFLS-5 data on this topic.Aim: To evaluate the association between vision impairment and other factors with cognitive dysfunctionin Indonesia’s geriatric population.Methods: This study is a descriptive analytic study utilizing data from 2375 seniors of 60 years old andover from the fifth wave of Indonesian Family Life Survey (IFLS-5). Analysis is done through univariate, bivariate,and multivariate analysis.Results: The majority of respondents are male (82,7%), married (76,5%), living in urban areas (52,3%),and has <9 years of education (57,1%). 9,4% respondents experienced vision impairment, 13,4% experiencedADL impairment, 34,3% experienced IADL impairment, and 49,3% experienced cognitive impairment. Inbivariate analysis, marital status (p=0,004), residence (p<0,001), education (p<0,001), IADL (p<0,001), andvision impairment (p=0,049) are significantly correlated with cognitive function. In subanalysis, the use ofreading glasses in elderly with vision impairment is significantly correlated with cognitive function. Inmultivariate analysis, residence (p=0,002), education (p<0,001) and IADL (p=0,023) are significantly correlatedwith cognitive function.Discussion: Residence, education, and IADL is significantly associated with cognitive function. Visionimpairment is not significantly associated with cognitive function.Keywords: Cognitive Function, Geriatric, IFLS-5, Vision Impairment
PEKERJAAN SEBAGAI FAKTOR PROTEKTIF MEMORI PADA LANSIA Suwito, Michelle Margaretha; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 40 No 2 (2024): Vol 40 No 2 (2024): Volume 40, No 2 - Maret 2024
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v40i2.586

Abstract

Introduction: The risk of memory impairment increases with age, with a global prevalence of 20% of elderly experiencing difficulties in memory related activities.Aim: The aim of this study is to understand memory impairment and its associated factors in a community- dwelling setting in Kebon Jeruk, West Jakarta.Method: This cross-sectional study involved 98 participants aged over ≥60 years. Data was collected by interview using validated instruments. Statistical analysis was done using chi-square method for bivariate analysis and multiple logistic regression for multivariate analysis.Result: Majority of participants were women (71%), with ages of ≥65 years (81%), an education of >12 years (90%) and were unemployed (87%). Memory impairment was found in 82% of participants. Chi- square analysis showed that factors significant to memory impairment were age (p: 0.021; OR: 0.734; 95%CI: 0.515 – 1.046), occupation (p: 0.045; OR: 0.727; 95%CI: 0.486 – 1.127), and physical activity (p: 0.013; OR: 1.338; 95%CI: 0.998 – 1.794). Multiple logistic regression analysis showed that the most significant factor affecting memory impairment was age (OR: 3.766).Discussion: Memory impairment in the elderly is associated with age, occupation, and physical activity. Of these factors, age is the most significant factor, with a risk increase of 3.766 times in impairing memory of the elderly.Keywords: Age, elderly, memory impairment, occupation, physical activity.
The Association of Lipid Profile Especially Total Cholestrol With Hypertension of Urban Elderly in PUSAKA, Kalideres, West Jakarta David Reinaldo Sebastian Gunawan; Gunawan, David Reinaldo Sebastian; Handajani, Yvonne Suzy; Turana, Yuda
Bahasa Indonesia Vol 24 No 1 (2025): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v24i1.4749

Abstract

Pendahuluan: Peningkatan harapan hidup manusia berkontribusi pada peningkatan jumlah lansia, yang pada akhirnya dapat meningkatkan kejadian penyakit tidak menular termasuk penyakit kardivoaskular seperti hipertensi. Pencegahan dapat dilakukan dengan cara mengetahui faktor-faktor risiko yang dapat dimodifikasi. Metode: Penelitian ini merupakan penelitian deskriptif analitik dengan desain penelitian cross-sectional yang melibatkan 97 lansia PUSAKA di Kalideres, Jakarta Barat. Variabel yang diukur adalah aktivitas fisik, status gizi, dan profil lipid. Responden dinyatakan mengalami hipertensi apabila memiliki tekanan darah ≥140/90 mmHg ketika dilakukan pengukuran, atau pada responden yang memang sudah terdiagnosis mengalami hipertensi sebelumnya. Hasil: Hasil penelitian ini menunjukkan sebagian besar responden adalah perempuan (72,2%). Sebanyak 33% responden mengalami hipertensi. Hasil analisis multivariat menunjukkan bahwa terdapat hubungan yang bermakna antara usia (p=0,045; OR=2,571), LDL (p=0,045; OR=2,571), dan kolesterol total (p= 0,018; OR=3,279) terhadap hipertensi pada lansia. Sedangkan jenis kelamin, pendidikan, status gizi, aktivitas fisik, HDL, dan trigliserida tidak memiliki hubungan terhadap hipertensi pada lansia Simpulan: Usia, LDL, dan kolesterol total ditemukan sebagai faktor risiko kejadian hipertensi pada lansia.
Aktivitas Fisik Sebagai Penentu Frailty: Melampaui Indeks Massa Tubuh, Lingkar Pinggang, dan Body Fat Percentage. Sejati, Fabian; Turana, Yuda; Handajani, Yvonne Suzy; Kristian, Kevin
Bahasa Indonesia Vol 24 No 2 (2025): Damianus Journal of Medicine
Publisher : Atma Jaya Catholic University of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25170/djm.v24i2.6138

Abstract

Pendahuluan: Proses penuaan meningkatkan risiko seseorang untuk mengalami masalah kesehatan, salah satunya adalah frailty. Sebuah penelitian studi potong lintang oleh Setiati, et al. di Indonesia pada tahun 2020, didapatkan prevalensi sebesar 66,20% pre-frail dan 18,70% frail. Tujuan: Mendapatkan gambaran mengenai frailty pada lansia dan faktor risikonya di Pusaka Kebon Jeruk, Jakarta Barat. Metode: Penelitian ini menggunakan metode potong lintang dan terdiri dari 100 subjek dengan usia ≥60 tahun yang telah memenuhi kriteria penelitian. Pengambilan data dilakukan melalui wawancara menggunakan instrumen yang sudah divalidasi. Hasil: Dari 100 responden, sebagian besar berusia 60-74 tahun (75%), perempuan (71%), pendidikan ≥12 tahun (90%). Terdapat 18% lansia yang mengalami frailty. Analisis bivariat menunjukkan faktor yang memiliki hubungan bermakna adalah usia (p<0,001; RO=7,633; 95%CI=2,519–23,127) dan aktivitas fisik (p=0,011; RO=3,857; 95%CI=1,308–11,370). Simpulan: Frailty memiliki hubungan bermakna dengan usia dan aktivitas fisik. Usia menjadi faktor yang paling memengaruhi dan meningkatkan risiko frailty pada lansia.
Gangguan Fungsi Bahasa Meningkatkan Risiko Kualitas Hidup Buruk pada Lansia Piustan, Mas Eaufrat; Turana, Yuda; Handajani, Yvonne Suzy; Kristian, Kevin
Majalah Kedokteran Neurosains Perhimpunan Dokter Spesialis Saraf Indonesia Vol 41 No 4 (2025): Volume 41 Nomor 4, September 2025
Publisher : PERDOSNI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52386/neurona.v41i4.673

Abstract

Introduction: The quality of life of the elderly requires attention. Language function is closely related to identifying individuals who are vulnerable to a decline in quality of life. Aim: This study aims to examine the relationship between sociodemographic factors, language function, social engagement, and frailty with elderly’s quality of life. Methods: This study employed a cross-sectional method with 100 respondents aged ≥60 years. Quality of life was measured using the WHOQOL-BREF, language function was assessed using the CERAD Verbal Fluency Test, social engagement was evaluated using the Social Disengagement Index, frailty was measured using the Fried Frailty Index, and sociodemographic factors were assessed through interviews using validated instruments. Results: Chi-square analysis showed a significant relationship between language function and the psychological, social, and environmental domains (p<0.05). Gender was only significantly associated with the environmental domain. Frailty was associated with psychological, social, overall quality of life, and health satisfaction. Multiple logistic regression analysis shows that impaired language function is a risk factor for impairments in the psychological (OR=3.335; 95%CI=1.376-8.082), social (OR=3.473; 95%CI=1.376-8.763), and environmental domain (OR=4.649; 95%CI=1.057-20.442). Frailty was identified as risk factor for impairments in psychological domain (OR=3.274; 95%CI=1.069-10.022) and health satisfaction (OR=3.378; 95%CI=1.105-10.328). Being female served as protective factor against impairments in the environmental domain (OR=0.159; 95%CI=0.036-0.694). Discussion: Impaired language function increase the risk of psychological, social, and environmental impairments. Being female serves as protective factor against environmental domain impairment. Frailty increases the risk of psychological impairments and poor health satisfaction. Keywords: Age, elderly, frailty, language, quality of life
Analisis Determinan Kejadian Hipertensi pada Lansia di Urban Jakarta Pakpahan, Hotmaria Agustina; Rahardjo, Tri Budi; Kridawati, Atik; Handajani, Yvonne Suzy
Jurnal Ilmu Kesehatan Masyarakat Vol 13 No 01 (2024): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v13i01.2566

Abstract

Hipertensi merupakan salah satu faktor risiko utama penyakit kardiovaskular dengan tingkat kejadian yang masih tinggi di dunia. Di negara-negara yang sedang berkembang, penyakit tidak menular seperti penyakit jantung, penyakit ginjal, stroke dan diabetes akan segera menggantikan penyakit menular dan malnutrisi sebagai penyebab kematian dan disabilitas. Data surveillans DKI Jakarta tahun 2019 menyebutkan peningkatan penyakit hipertensi dan diabetes di Jakarta masih sangat tinggi. Penelitian ini bertujuan untuk menentukan risiko yang paling signifikan terhadap kejadian hipertensi pada lansia. Penelitian ini adalah penelitian observasional analitik dengan metode penelitian kasus kontrol. Pengambilan sampel dilakukan dengan cara cluster random sampling, dengan jumlah sampel 91 kasus dan 91 kontrol pada kelompok lansia yang berusia ≥ 60 tahun. Data dianalisis dengan uji Chi-Square dan uji regresi logistik ganda. Hasil penelitian menunjukkan bahwa faktor depresi (nilai p = 0,0001; OR = 33,341), pendidikan (nilai p = 0,0001; OR = 6,276), dukungan keluarga (nilai p = 0,035; OR = 3,457), obesitas (nilai p = 0,028; OR = 0,321), riwayat keluarga (nilai p = 0,444; OR = 0,305), mengonsumsi makanan asin (nilai p = 0,002; OR = 0,195) berhubungan dengan kejadian hipertensi pada lansia. Kejadian hipertensi pada lansia di Jakarta beresiko lebih tinggi pada lansia dengan depresi, pendidikan rendah, dan kurangnya dukungan dalam keluarga, namun cenderung beresiko lebih rendah pada lansia dengan obesitas, riwayat keluarga hipertensi, dan kebiasan mengonsumsi makanan asin.
Depression as a predominant factor for activities of daily living among elderly Giovanny, Audrey Carissa; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.19266

Abstract

Purpose: This study aims to provide an overview of the ability to perform activities of daily living (ADL) in the elderly population and to identify associated factors. Methods: A cross-sectional study was conducted with 100 community-dwelling participants aged 60 and older in West Jakarta. Sociodemographic data, the Barthel Index, the Berg Balance Scale, the Fried Frailty Index, and the Geriatric Depression Scale were collected by interview. Chi-Square and multiple logistic regression analyses were used for the bivariate and multivariate analyses. Results: The majority of participants were women (71%), aged 60-74 years (75%), with education levels of 12 years or more (90%). Fifteen percent of elderly participants experienced problems with ADL. Chi-square analysis showed significant associations between ADL impairment with age (p=0.006; OR=4.57; 95%CI: 1.454-14.368), balance (p=0.023; OR=10.38; 95%CI: 1.567-68.595), and depression (p=0.006; OR=5.00; 95%CI: 1.468-17.033). Multiple logistic regression analysis identified depression as the most dominant risk factor affecting ADL, increasing the risk by 4.02 times. Conclusion: This study highlights age, body balance, and depression as potential contributors to ADL impairment, with depression emerging as the predominant risk factor. Both physical and mental health should be considered essential for preserving ADL function in the elderly.
Dependency in Older People with Sarcopenia Lim, Sebastian; Handajani, Yvonne Suzy; Turana, Yuda; Kristian, Kevin
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.4338

Abstract

The risks of sarcopenia tends to increase as the age increase and also low physical activity, dependency in activity of daily living, and obesity may lead to decrease in skeletal muscle mass that impact to muscle strength and decreasing physical performance. This study aimed to determine the association between physical activity, activity of daily living, and obesity in older people. Determining the association of physical activity, activity of daily living, and obesity with sarcopenia among older people in West Jakarta. This was an analytical descriptive study with cross-sectional design of 207 subjects aged > 70 years in West Jakarta. The variable were assessed by using a guidelines from Asian Working Group of Sarcopenia (AWGS), cut-off points from World Health Organization (WHO) and Barthel Index for assessment of sarcopenia, physical activity and activity of daily living, and also using cut-off points from World Health Organization (WHO) for assessment of obesity. Multivariate logistic regression was used to analyze the association between sociodemographic factors, physical activity, activity of daily living, and obesity on sarcopenia. Based on sociodemographic characteristics, the respondents were mostly woman (71.5%) with more than 70 years (58%), had more than 12 years of education (74.4%). The analysis showed that activity of daily living has a meaningful relationship with sarcopenia (p= 0.021; OR= 3.595; 95% CI= 1.208 – 10.696). Furthermore, sex was also found as a risk factor for sarcopenia (p= 0.002; OR= 5.484; 95% CI= 1.899 – 15.836). This study showed that activity of daily living played a significant role in the incidence of sarcopenia in older people. In addition, older men are known to have higher risk of developing sarcopenia.
Co-Authors Barus, Jimmy Fransisco Abadinta Budiharsana, Meiwita Paulina Christy, Kezia David Reinaldo Sebastian Gunawan Elsiandi, Caroline Alvina Felicia, Tesya Giovanny, Audrey Carissa Gunawan, David Reinaldo Sebastian Halim, Magdalena Surjaningsih Hardi, Nicholas Ika Suswanti Kezia Christy Konny, Lisye kridawati, atik Kristian, Kevin Kwok, Lyvia Ariella Latasya, Chelsea Destania Lim, Sebastian Lusia Gani Maria Anggi Sylvani Nelly Tina Widjaja Pakpahan, Hotmaria Agustina Piustan, Mas Eaufrat Prasetya, Virginia Geraldine Hanny Pricilya H. Wangi Rahardjo, Tri Budi sandy Ayu Monica Silalahi Sani, Tara Puspitarini Schröder-Butterfill, Elisabeth Sejati, Fabian Suryakusuma, Linda Suwito, Michelle Margaretha Tanumihardja, Tommy Tanuwijaya, Melyana Thiantoro, Benedicta Ann Clarabelle Vebriana, Gennesia Vinsalia, Thania Yuda Turana